The theme begins with a light, bouncing beat using wind and string instruments, but eventually the background drumbeats and cymbals become more prominent and the theme becomes louder and more dramatic, perhaps a reflection of Kefka's rise to power or his further descent into insanity.

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"Kefka" plays frequently during the first part of the game, accompanying Kefka's appearances, and during the party's confrontation with him before the final battle. Its motif is also partially included in the final part of Dancing Mad.